| NPI | 1972743656 |
|---|---|
| Other Name | KARA LEE |
| Entity Type | Organization |
| Authorized Contact | KAREN MAIER CEO 734-451-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI 6301008621) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |